Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08883 | Date 16/10/2020 |
| Token No | SM/20-21/26745 16/10/2020 | Serial | 022 Last Visit: 16/10/2020 |
| Patient Name | Miss RIYA KUMARI | Contact No | 8582031975 |
| Address | 15 CHATRA MUSALMAN PARA SERAMPORE | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||